MEDICARE: ONE MIAMI MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1639067770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE MIAMI MEDICAL LLC

Provider Business Mailing Address
First Line	:	685 NE 59TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-2362
Country	:	US
Telephone Number	:	832-799-4493
Fax Number	:

Provider Business Practice Location Address
First Line	:	685 NE 59TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-2362
Country	:	US
Telephone Number	:	832-799-4493
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHAUN DANE VILLIERS SMITHSON
Credential	:	MD
Telephone Number	:	832-799-4493

Provider Enumeration Date	:	06/26/2025
Last Update Date	:	06/26/2025

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1407192933 — MR. JOSE CINTRON BURGOS MSPT
Practice Location Address:

8040 NW 95TH ST STE 223-224
MIAMI LAKES, FL
33016-2362

Practice Phone: 941-587-9386
Practice Fax: 941-587-9386

1235586900 — MERCEDES HORTA
Practice Location Address:

795 NE 146TH ST
NORTH MIAMI, FL
33161-2362

Practice Phone: 786-474-8492
Practice Fax:

1609360767 — YUDITH ALONSO ARNP
Practice Location Address:

8040 NW 95TH ST STE 331-332
MIAMI LAKES, FL
33016-2362

Practice Phone: 305-819-1110
Practice Fax:

1104464841 — KAYLYN BELL MD
Practice Location Address:

3601 FEDERAL HWY
MIAMI, FL
33137-3795

Practice Phone: 305-576-6611
Practice Fax:

1295015980 — ARIEL VIDAL DH
Practice Location Address:

3601 FEDERAL HWY
MIAMI, FL
33137-3795

Practice Phone: 305-576-6611
Practice Fax:

Directions to “ONE MIAMI MEDICAL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.